2022
DOI: 10.1038/s41413-022-00190-4
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Mechanical regulation of bone remodeling

Abstract: Bone remodeling is a lifelong process that gives rise to a mature, dynamic bone structure via a balance between bone formation by osteoblasts and resorption by osteoclasts. These opposite processes allow the accommodation of bones to dynamic mechanical forces, altering bone mass in response to changing conditions. Mechanical forces are indispensable for bone homeostasis; skeletal formation, resorption, and adaptation are dependent on mechanical signals, and loss of mechanical stimulation can therefore signific… Show more

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Cited by 236 publications
(170 citation statements)
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References 241 publications
(331 reference statements)
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“…β = 0). It is then worth noticing that osteoporosis, including the effects experienced by astronauts involved in medium/long-term space flights due to microgravity conditions [32,95], has been recently demonstrated to be associated to a progressive reduction of the osteon overall anisotropy ratio with respect to healthy bones, combined with a decrease of the level of mineral bone density. This can reach a critical condition of an only partially reversible recovery of the bone's physiological status, for which the behaviour of the osteon tends to finally become isotropic [48,53,96].…”
Section: Discussionmentioning
confidence: 99%
“…β = 0). It is then worth noticing that osteoporosis, including the effects experienced by astronauts involved in medium/long-term space flights due to microgravity conditions [32,95], has been recently demonstrated to be associated to a progressive reduction of the osteon overall anisotropy ratio with respect to healthy bones, combined with a decrease of the level of mineral bone density. This can reach a critical condition of an only partially reversible recovery of the bone's physiological status, for which the behaviour of the osteon tends to finally become isotropic [48,53,96].…”
Section: Discussionmentioning
confidence: 99%
“…However, BMAs could also interfere with skeletal homeostasis and bone remodeling via its metabolic activities ( 57 ). The maintenance of bone mass depends on the dynamic and precise coordination of osteoclast-dominated bone resorption and osteoblast-mediated bone formation ( 58 , 59 ). Studies in rats and dogs indicated reduced osteoblast activity, osteoclast numbers and increased bone loss at sites with higher BMA numbers ( 57 ).…”
Section: Metabolic Featuresmentioning
confidence: 99%
“…The two matrix components make bone a composite material with outstanding mechanical properties, but this comes with a caveat: bone needs to be modeled and remodeled during growth and adult life, respectively, otherwise its mechanical properties degrade over time, as is the case for elderly individuals of both genders and for some bone genetic diseases [3,4] . Proper bone modeling/remodeling is guaranteed by a finely tuned balance among the three main bone cells: osteoblasts, the bone-forming cells; osteoclasts, the bone-resorbing cells; and osteocytes, key controllers of bone matrix homeostasis [5,6] . During bone modeling, all bone sections change shape following both mechanical cues and microenvironmental factors and expand to accommodate the growing organism in physiological conditions.…”
Section: Normal Bone Physiology: Cellular Players and The "Virtuous C...mentioning
confidence: 99%